结合雌激素乳膏联合本体感觉训练在绝经后盆腔脏器脱垂患者围手术期的应用效果

Application Effect of Conjugated Estrogens Cream and Proprioceptive Training in Postmenopausal Pelvic Organ Prolapse Patients during the Perioperative Period

目的:探讨绝经后盆腔脏器脱垂(POP)患者围手术期采用结合雌激素乳膏联合本体感觉训练的临床效果。方法:选取2021年1月—2023年6月山东第一医科大学第二附属医院行手术治疗的共计86例绝经后POP患者,以随机数字表法分成研究组(n=43)与对照组(n=43),研究组术前3 d及术后给予结合雌激素乳膏,术后给予本体感觉训练、盆底电刺激生物反馈,对照组术后给予盆底电刺激生物反馈,比较两组围手术期指标、盆底功能、性生活质量、并发症。结果:研究组手术时间、尿管留置时间、住院时间均较对照组短,术中出血量较对照组少,差异均有统计学意义(P<0.05);两组术后3个月盆底功能障碍问卷(PFDI-20)评分均下降,研究组均较对照组低,差异均有统计学意义(P<0.05);两组术后3个月盆腔器官脱垂/尿失禁性生活质量问卷-12(PISQ-12)评分均升高,研究组较对照组高,差异均有统计学意义(P<0.05);研究组并发症发生率为4.65%(2/43),较对照组的20.93%(9/43)低,差异有统计学意义(P<0.05)。结论:结合雌激素乳膏联合本体感觉训练应用于绝经后POP患者围手术期,能够缩短手术时间及术后恢复时间,减少术中出血量,改善盆底功能,提高性生活质量,降低并发症发生率。

Objective:To explore the clinical effect of Conjugated Estrogens Cream and proprioceptive training in on postmenopausal pelvic organ prolapse(POP)patients during the perioperative period.Method:A total of 86 postmenopausal POP patients who underwent surgical treatment in the Second Affiliated Hospital of Shandong First Medical University from January 2021 to June 2023 were selected and divided into the study group(n=43)and the control group(n=43)by random number table method.The study group was received Conjugated Estrogens Cream 3 days before and after surgery,followed by proprioceptive training and pelvic floor electrical stimulation biofeedback after surgery.The control group received pelvic floor electrical stimulation biofeedback after surgery.The perioperative indicators,pelvic floor function,sexual quality of life,and complications of the two groups were compared.Result:In comparision of the control group,the surgery time,catheter indwelling time,and hospital time in the study group were shorter,intraoperative bleeding was less,the differences were statistically significant(P<0.05).3 months after surgery,the pelvic floor distress inventory-short form 20(PFDI-20)scores in both groups were decreased,and in comparision of the control group,those in the study group were lower,the differences were statistically significant(P<0.05).3 months after surgery,the pelvic organ prolapse-urinary incontinence sexual questionnaire(PISQ-12)scores in both groups were increased,and in comparision of the control group,that in the study group was higher,the differences were statistically significant(P<0.05).In comparision of the control group[20.93%(9/43)],the incidence of complications in the study group[4.65%(2/43)]was lower,the difference was statistically significant(P<0.05).Conclusion:The application of Conjugated Estrogens Cream and proprioceptive training in the perioperative period of postmenopausal POP patients can shorten the surgery time and postoperative recovery time,reduce intraoperative bleeding,improve pelvic floor function,improve sexual quality of life,and reduce the incidence of complications.